“Hospital EMRs are extremely expensive and the estimate above for the cost of a single system is certainly in the ballpark for medium to large hospitals. Businesses of comparable size outside of healthcare would never consider, nor be able to pay, such high prices, even for a mission-critical system. An interesting question is why these systems are so expensive, particularly since many of them are rather antiquated. I can’t point definitively point to any one factor but I would cite the following: few competing companies, a thin layer of buyers at the high end, the desire for extensive unique customization by each hospital client, and high customer vendor support costs.”
Article
Bruce Friedman, Lab Soft News, 03 April 2009

